CN113874063B - Storage device for guide wires - Google Patents

Storage device for guide wires Download PDF

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Publication number
CN113874063B
CN113874063B CN202080038340.7A CN202080038340A CN113874063B CN 113874063 B CN113874063 B CN 113874063B CN 202080038340 A CN202080038340 A CN 202080038340A CN 113874063 B CN113874063 B CN 113874063B
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frame
opening
reservoir
introducer
wall
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CN113874063A (en
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迪迪尔·查特尔
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/002Packages specially adapted therefor ; catheter kit packages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B50/33Trays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/80Implements for cleaning or washing the skin of surgeons or patients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/16Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
    • A61L2/18Liquid substances or solutions comprising solids or dissolved gases
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B2050/3005Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments containing a preservative liquid, e.g. an antiseptic liquid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/20Holders specially adapted for surgical or diagnostic appliances or instruments
    • A61B50/22Racks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/70Cleaning devices specially adapted for surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/20Targets to be treated
    • A61L2202/24Medical instruments, e.g. endoscopes, catheters, sharps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2209/00Ancillary equipment
    • A61M2209/06Packaging for specific medical equipment

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Pathology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Epidemiology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Filling Or Emptying Of Bunkers, Hoppers, And Tanks (AREA)
  • Storage Of Web-Like Or Filamentary Materials (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • External Artificial Organs (AREA)

Abstract

A receiving device for a guide wire (1) has a reservoir (20) and a frame (21) having two walls (210) and comprising an insertion hole (213) forming an interior space between the two walls. The frame (21) includes an opening (212) passing through the frame (21) from one wall (210) to the other wall, and a passage (214) formed in the inner space and communicating with the insertion hole (213), the passage (214) communicating with the opening over a part of the periphery of the opening (212), referred to as an opening portion. The reservoir (20) comprises positioning means (204) designed to place the frame (21) in a holding position in which the open part of the channel (214) is at least partially inside the reservoir (20) and the insertion hole (213) extends outside the reservoir (20), the reservoir (20) further comprising stop means (203) designed to prevent translational movement of the frame (21) in the direction of insertion and removal of the guide wire into and from the frame (21).

Description

Storage device for guide wires
The present invention relates to an apparatus for intraoperative storage of an introducer for use in endovascular or endocardial interventions.
During these procedures, an introducer called a guidewire is typically used. These introducers are "wires" that may not be made of metal and have different flexibilities.
In practice, the introducer is packaged in a sterile manner and delivered in boxes. The introducer is removed from the cassette and inserted into a patient's blood vessel as an introducer for performing a medical imaging or therapeutic procedure. For example, the introducer may be used for endovascular or interventional procedures such as percutaneous aortic valve implantation (TAVI), interventional coronary cardiology, endoprostheses for the treatment of aortic aneurysms, and the like.
Typically, once these introducers are removed from the patient's blood vessel, they are rolled up and loosely placed in a saline-filled basin. However, this way of stowing the introducer is not optimal, as the second phase for interventional procedures, again taking the introducer out, needs to be found in the "disorder" of the concave dish.
In this context, an introducer storage device is known that is capable of storing an introducer when it is used again after waiting. Document US 2016 020 6394 discloses an apparatus comprising a tank and a frame. The frame includes a number of compartments, each configured to receive an introducer. Each introducer must be rolled up before being stored in the compartment. Therefore, the storage of the introducer requires the use of two hands.
The present invention aims to overcome at least one of the aforementioned disadvantages.
The invention relates to a guidewire receiving device comprising a reservoir and at least one removable frame. At least one removable frame is configured to be disposed in a reservoir configured to hold saline. The frame includes two opposing walls and includes an insertion aperture. An interior receiving space is formed between the two walls. The insertion aperture is formed in the interior space and extends from a first end of the wall toward a second end of the wall, the second end being opposite the first end.
According to the invention, the frame comprises an opening and a substantially annular ring groove. The opening passes through the frame from one wall to the other, and the annular groove is formed in the inner space and communicates with the insertion hole. A portion of the perimeter of the ring groove designated as an open portion communicates with the opening, while the remainder of the perimeter of the ring groove is spaced apart from the opening. The reservoir includes a positioning device configured to place the frame in the stowed position. In this storage position, the open portion of the ring groove is at least partially located inside the reservoir and the insertion hole extends outside the reservoir. The reservoir further includes a stop device configured to prevent translational movement of the frame in a direction of insertion and removal of the guidewire from the frame when the frame is in the stowed position.
The device thus formed enables insertion and removal of the introducer from the frame with one hand, since translational movement of the frame in the direction of insertion and removal of the guide wire is prevented by the stop means. The device so formed is stable enough in the stowed position that the operator does not have to hold the frame while removing and inserting the guidewire from and into the frame.
In addition, the guide can be easily inserted through the insertion hole and pushed into the ring groove.
The annular shape of the ring groove facilitates the storage and rolling up of the introducer inside the frame. The guide travels along the wall of the ring groove so as to be properly stored and rolled up in the inner space of the frame.
Moreover, each frame houses a single introducer, each introducer being easily found. Furthermore, at the end of the procedure, the introducer may be explicitly packaged and stored in its corresponding frame for disposal. In other words, each frame and each introducer is preferably disposable, thus enabling clean and orderly packaging for waste disposal.
In addition, the device enables the introducer to be stored while immersed in saline. In fact, since a portion of the periphery of the ring groove communicates with the opening, the introducer is immersed in the saline water when passing through the opening during the process of being stored in the frame. This can wet the introducer when it is received in the frame and when it is removed from the frame.
Finally, the frame is removable so that the frame can be moved and manipulated as desired. Thus, insertion into the patient can begin without the introducer being completely removed from the frame. Thus, the receiving device can save guiding maneuvers and thereby prevent handling accidents that may be a source of aseptic accidents and thus infection sources; such an accident necessitates the use of a new introducer. Thus, this may save the number of introducers used per procedure.
According to one feature, the positioning means are adapted to prevent translational movement of the frame in the transverse direction.
This makes the frame more stable in the stowed position and thus more advantageous for one-handed insertion and removal of the introducer from the frame.
According to one feature, a gap separates the positioning device from at least one wall of the frame when the frame is in the stowed position, the gap being configured to cause the wall of the frame to abut the positioning device when the guidewire is removed from and inserted into the frame.
Thus, when the wall abuts against the positioning means, translational movement of the frame is prevented. The advantage of the gap is thus that it facilitates the insertion and positioning of the frame in the reservoir, while the frame can be held in the reservoir by the abutment sufficiently stable for one-handed insertion and removal of the guide wire from the frame.
According to one feature, the wall of the frame rests on the positioning means when the frame is in the storage position.
In other words, the positioning device is configured such that there is no gap between the wall and the positioning device when the frame is in the stowed position. Thus preventing lateral translation of the frame.
According to one feature, the positioning device comprises an assembly member configured to cooperate with the frame by shape complementarity.
The assembly member may be configured to resist lateral translation of the frame in at least one direction.
According to one feature, the positioning device is configured to secure the frame when the frame is in the stowed position. For example, the positioning device may be one or more clips configured to hold the frame in place.
Since the frame is fully secured, the operator can insert and remove the guide wire from the frame without being obstructed by the movement of the frame.
Preventing the frame from translational movement in a lateral direction, either in one or both directions, or fully securing the frame, can provide for a more stable frame in its stowed position, which can facilitate insertion and removal of the frame from the frame with a single hand.
According to another feature, the open portion of the ring groove includes bridges spaced along the open portion and extending from one side of the ring groove to the other.
When the introducer is inserted into the frame, the introducer is immersed in the saline while being located at a portion of the ring groove communicating with the opening, that is, at a portion of the ring groove separated by the bridge portions.
According to one feature, the ring groove comprises an upper portion formed in an upper portion of the frame and a lower portion formed in a lower portion of the frame, the upper and lower portions of the ring groove being semi-annular, the ring groove being closed in the upper portion and communicating with the opening in one or more portions of the lower portion, the insertion hole extending in the upper portion of the frame.
When the insertion hole extends in the closed upper portion of the frame, the guide is properly guided in the ring groove, thereby preventing escape from the frame. In fact, under the weight of the introducer itself, if the upper part is open, the introducer may tend to come out of the frame. The lower portion may be partially or completely open because the weight of the introducer causes it to fall toward the bottom of the lower portion of the groove.
According to one feature, the opening is substantially circular.
Thus, the opening follows the substantially annular form of the annular groove. This allows the introducer to be fully wetted by the saline in the portion of the circumferential groove that communicates with the opening.
According to one feature, the walls of the frame are curved.
Thus, a substantial portion of the frame, and thus a substantial portion of the introducer, may be immersed in the saline in the reservoir. Furthermore, it is possible to form a frame of larger dimensions and thus larger diameter, without however increasing the height of the frame. It is thus further advantageous to place the guide in place in the frame of larger diameter without interfering with the height of the frame and the height of the receiving device.
According to one feature, the reservoir comprises at least two protrusions extending at the bottom of the reservoir and configured to receive the frame therebetween, these protrusions forming the positioning means, one side of the reservoir extending opposite to the second end of the wall of the frame and forming the stop means.
According to one feature, the device comprises an insert member communicating with the frame through an insert hole.
The insertion member avoids the need for the user to find an insertion hole, thereby facilitating insertion of the introducer into the frame.
According to one feature, the insert member includes a mounting end complementary to the insertion aperture of the frame, the mounting end configured to be insert-fitted into the insertion aperture of the frame.
According to one feature, the insert member has a substantially frustoconical shape.
Since the frustoconical shape is a flared shape, the introducer is guided toward the insertion hole, thereby facilitating insertion of the introducer into the frame. The frustoconical shape allows better visibility for the user towards the insertion hole.
According to one feature, the insertion member includes a frustoconical portion and a beak-like insertion portion extending the frustoconical portion at the flared end.
Since the insertion member has the beak portion, this is advantageous in guiding the guide toward the insertion hole.
According to one feature, the insert member and the frame are formed as a one-piece member.
Other features and advantages of the invention will appear in the following description, given by way of non-limiting example, with reference to the accompanying drawings:
FIG. 1 is a schematic perspective view of a guide wire;
fig. 2 is a schematic perspective view of a receiving device for a guide wire according to a first embodiment;
FIG. 3 is an exploded view of FIG. 2;
fig. 4 is a schematic perspective view of the frame of the containing device of fig. 2;
fig. 5 is a schematic perspective view of the inversion of the frame according to the second embodiment;
fig. 6 is a cross-sectional view of a receiving device with a frame according to a third embodiment;
fig. 7 is an enlarged view of the insert member of the containing device of fig. 2; and
fig. 8 is a perspective view of an insert member according to another embodiment.
In the following sections of this document, the terms "longitudinal" and "transverse" are used with respect to the drawings and should not be construed restrictively in any way. The longitudinal direction and the transverse direction are perpendicular to each other.
Fig. 1 shows a guidewire, also called an introducer 1. Fig. 1 is in the form of a line.
The introducer 1 is made of a flexible material. The flexibility of the introducer 1 enables it to be rolled up easily, as can be seen in the figures, in order to receive the introducer, for example.
The introducer 1 is for example made of metal or of any other suitable material.
Fig. 2 and 3 show perspective views of the introducer housing device 2 according to one embodiment. The receiving device 2 comprises a reservoir 20 and at least one frame 21. In this example, the housing apparatus 2 includes a single frame 21, and further includes an insertion member 22.
Of course, the number of frames and insert members may vary.
The reservoir 20 here takes the form of an open-topped parallelepiped box. Reservoir 20 includes a bottom 200, a longitudinal side 201, and a lateral side 202. The bottom 200 has a rectangular shape. The longitudinal side 201 and the transverse side extend around the bottom 200 and perpendicular to the bottom 200.
The longitudinal sides 201 and the lateral sides have a sufficient height to enable the reservoir 20 to be filled with saline (not shown in these figures).
Of course, the reservoir 20 may have other shapes. The reservoir 20 may, for example, have a square or circular profile.
Reservoir 20 includes a stop 203 and a positioning device 204. The positioning device 204 is configured to place the frame in the stowed position. The stop means 203 are configured to prevent translational movement of the frame 21 in the direction of insertion and removal of the guide wire into and from the frame 21 when the frame 21 is in the storage position.
The insertion and extraction direction of the guide means a direction in which the frame moves when the guide is inserted and extracted. In the described example, the insertion and removal direction of the introducer coincides with the longitudinal direction.
In this example, the reservoir 20 includes a protrusion 204. The protrusion 204 extends at the bottom 200 of the sump 20. The projection 204 here forms a positioning device 204. Here the protrusions 204 are six.
The projection 204 here takes the form of a rectangular plate. The protrusions 204 extend parallel to each other. A void or space is formed between each protrusion. The spacing between each projection is at least equal to the thickness of the frame 21. The spacing between all of the protrusions 204 is the same here. The void is sized to receive the frame 21 between the two protrusions 204 while preventing translational movement of the frame 21 in the lateral direction. In other words, when the frame 21 is arranged in the reservoir 20, the frame 21 rests on the two protrusions 204. The dimensions of the protrusions 204 (particularly in this exemplary embodiment, the length of the protrusions 204) are also selected to prevent translational movement of the frame 21 in the lateral direction.
Of course, the number, shape, arrangement, and size of the protrusions 204 may vary. As a non-limiting example, when the frame 21 is in the stowed position, there may be a gap between the frame 21 and the protrusion 204. The positioning device 204 may comprise an assembly member configured to mate with the frame 21 by shape complementarity.
In the embodiment shown, the frame 21 abuts against both lateral sides 202 when the frame 21 is arranged in the storage position in the reservoir 20. Thus, the two lateral sides 202 form a stop 203. The frame 21 is then blocked against longitudinal translational movement in both directions towards the two lateral sides 202.
In this particular exemplary embodiment, the longitudinal direction corresponds to the direction of insertion and removal of the introducer from the frame.
Of course, the stop means may be of any other type, shape and number. In a further example embodiment of the present invention,
the frame 21 includes walls 210, and an inner accommodating space is formed between these walls, in which the guide 1 is accommodated. Here, the frame 21 comprises two walls 210 and a peripheral edge 211. The walls 210 each include a first end 210a and a second end 210b, which is the opposite end of the first end 210 a. Peripheral edge 211 surrounds wall 210. The walls 210 are substantially parallel to each other and are considered to be pairs of peripheral edges 211 substantially parallel to each other, so that the frame 21 has a substantially parallelepiped shape.
The frame 21 can theoretically be divided into two parts; the lower portion 21a and the upper portion 21b are symmetrically separated by a middle axis A1 extending parallel to the longitudinal direction.
The frame 21 includes an opening 212, which can be seen in fig. 2, 3 and 4. The opening 212 here has a substantially circular contour. Where openings 212 are formed in wall 210. The opening 212 is a through hole, that is, the opening 212 penetrates the wall 210.
The frame 21 further comprises an insertion hole 213, which is clearly visible in fig. 4. The insertion hole 213 extends from the first end 210a toward the second end 210b of the wall 210. An insertion hole 213 is formed in one of the peripheral edges 211. An insertion hole 213 is formed in the upper portion 21b of the frame 2. The insertion hole 213 is provided to receive the introducer 1.
The frame 21 further includes a circumferential groove 214. A ring groove 214 is formed in the inner space of the frame 21 and adjacent to the opening 212. The circumferential groove 214 is substantially annular and has a diameter substantially the same as the diameter of the opening 212. The ring groove 214 communicates with the insertion hole 213. The ring groove communicates with the opening 212 over a portion of the periphery of the opening 212, referred to as an open portion. In other words, the ring groove 214 is connected to the insertion hole 213 and is partially opened.
The pocket 214 includes a lower portion 214a and an upper portion 214b separated by a medial axis A1. In the embodiment of fig. 2, 3 and 4, the circumferential groove 214 is completely closed at the upper portion 214b. In other words, the upper portion 214b of the circumferential groove 214 is not in communication with the opening 212. In addition, the circumferential groove 214 communicates with the opening 212 at a lower portion 214 a.
Of course, the upper portion 214b of the circumferential groove 214 may be only partially closed, for example, two-thirds closed.
Fig. 5 shows another embodiment of the frame, wherein the ring groove 214 communicates with the opening 212 at the location of several parts. In particular, the circumferential groove 214 is open at the location of the lower portion 214 a. The tongue or bridge 215 of the frame 21 separates the portions to partially enclose the ring groove 214. In other words, the portion or open portion of the circumferential groove 214 that communicates with the opening has bridge portions 215 spaced apart along the open portion. Each bridge 215 extends from one side of the circumferential groove 214 to the other.
Fig. 6 shows a further embodiment of the frame, wherein the wall 210 of the frame 21 is curved. When the frame 21 is arranged in the storage position in the tank 20, the wall 210 has a convex shape.
In this example, the reservoir 20 includes protrusions 204, each protrusion 204 including a receiving area 205 extending obliquely to receive the frame 21. The receiving area 205 is formed to be able to arrange a part of the frame 21 by means of a form-fitting. When the frame 21 is in the stowed position, the wall 210 rests against the surface 206 of the receiving area 205.
Thus, a larger sized frame may be formed and thus in this example have a circumferential groove 214 and a larger diameter, facilitating placement of the introducer in place in the frame, yet without increasing the height of the device. This avoids that the height of the receiving device, if too great, leads to a hindrance in the operating zone.
The terms "upper" and "lower" are used with respect to fig. 2 and 3 and are used only to facilitate an understanding of the present invention.
Fig. 7 is an enlarged view showing the insertion member 22 according to the embodiment of fig. 2. The insert member 22 is open at both ends thereof. In the example shown, the insert member 22 has a substantially frustoconical shape. The insert member 22 extends around the rotation axis A2, i.e. the insert member is symmetrical with respect to the rotation axis A2.
The insert member 22 includes a first end 220 and a second end 221 that are both open. The first end 220 (also referred to as an insertion end or flared end) enables a user to insert the introducer 1. The second end 221 (also referred to as a mounting end) is configured to be mounted to the frame 21 and constitutes an entry point for the introducer 1 into the frame 21.
The mounting end 221 of the insert member 22 has a circular profile. The diameter of the mounting end 221 is substantially the same as the diameter of the insertion hole 213 of the frame 21. Accordingly, the shape and size of the mounting end 221 is complementary to the shape and size of the insertion hole 213.
The flared form of the insertion member 22 facilitates insertion of the introducer into the frame 21 and eliminates the need for a user to target the insertion hole 213, which may be smaller in size.
According to another embodiment, an insert member 22 is also shown in fig. 8. The insert member includes a frustoconical portion 22a having a flared end 220 and a mounting end 221, and a beak-like insert portion 22b extending the frustoconical portion 22a at the location of the flared end. The frustoconical portion 22a extends about the axis of rotation A2. In this example, the insert member 22 is asymmetric.
The almost planar shape of a portion of the beak-shaped insertion section 22b may guide insertion of the guide 1 into the insertion member 22 toward the insertion hole 213. The insertion member 22 of the embodiment of fig. 6 has a sufficiently flared shape to enable easy insertion of the introducer 1 into the frame 21.
In these embodiment examples, the insertion member 22 is mounted to the frame 21 with an insertion fit. Of course, the insert member 22 may be bonded or fixedly attached to the frame 21. The insert member 22 may also be formed as a one-piece member with the frame 21.
In an exemplary embodiment, the housing device 2, in particular the frame 21, can be manufactured by 3D printing. In another example, the receiving device may be manufactured by molding. In particular, the frame 21 may be manufactured by molding. In the latter case, the frame may be divided transversely into two symmetrical parts, each formed by moulding and joined together.
When the introducer 1 is received in the receiving device 2, the frame 21 is arranged in the reservoir 20 and positioned by means of the positioning means 204. By means of the stop means 203, translational movement of the frame 21 in the direction of insertion and extraction of the guide wire is prevented. Depending on the embodiment, the frame 21 may be fully or partially secured in the reservoir 20.
The insert member 22 may be mounted to the frame 21. The insert member 22 may be mounted to the frame 21 before the frame 21 is disposed in the sump 20, after the frame 21 is disposed in the sump 20, or not at all.
The user then inserts the introducer 1 into the frame 21. The introducer 1 may be inserted into the frame 21 directly through the insertion hole 213 or through the insertion member 22. The introducer 1 can be inserted with one hand because the stop 203 prevents the frame 21 from translating in the direction of insertion and removal of the guidewire 1 into and from the frame 21.
In particular, in the embodiment shown in fig. 2 and 3, the second end 210b of the wall 210 of the frame 21 abuts against the stop means 203. Furthermore, the wall 210 of the frame 21 rests on the positioning device 204. In another exemplary embodiment, the frame 21 may be prevented from longitudinal translational movement in both directions. This further facilitates one-handed insertion and retrieval of the introducer as the frame 21 is held completely fixed in the reservoir 20.
First, the introducer 1 is advanced along the circumferential groove 214 until the first portion of the introducer 1 is wound through the circumferential groove 214 one turn. The user continues to insert the introducer 1 such that almost the entire introducer 1 is wound in the circumferential groove 214 and only a portion remains outside the frame 21, as best seen in fig. 2 and 3. In these figures, the portion of the introducer 1 within the interior space of the frame 21 is shown in phantom. The portion of the introducer 1 that remains outside the frame 21 enables a user to remove the introducer 1 from the frame 21 by pulling on this portion for use, for example, during an interventional procedure.
In the example described, since the ring groove 214 is partially closed over the entire upper portion 214b, the guide 1 is well guided along the ring groove 214 and cannot escape from the opening 212 when it is received or stored in the frame.
The reservoir 20 is at least partially prefilled with saline. Thus, when the introducer 1 is wound in the frame 21 or retrieved from the frame 21, substantially the entire introducer 1 passes through the portion or portions in communication with the opening 212 to enable the introducer 1 to be immersed in saline during storage.
In the embodiment shown in fig. 6, due to the curved shape of the wall 210, most of the frame 21 is located in the saline of the device and thus most of the introducer housed in the frame is immersed in the saline.
The frame 21 is removable and can therefore be moved within the reservoir 20 when required.
If the insert member 22 is mounted to the frame 21 by an insert fit, the insert member 22 may also be removable from the frame 21, i.e., the insert member 22 may be mounted to the frame 21 or removed as desired. This makes it possible to use the same insert member 22 for several frames 21.
Naturally, the invention is not limited to the described and illustrated embodiments.
For example, the positioning device 204 may also be a clip protruding from the bottom 200 of the reservoir 20.
The stop means 203 may be a protrusion forming an embossment of the bottom 200 of the sump 20 and extending in a lateral direction.
The sump 20 may include an intermediate wall or intermediate side separating the sump into a first portion and a second portion. The first portion may be configured to receive the frame 21. Thus, the first portion of the reservoir may comprise a positioning means and a stop means. The intermediate side can form a stop. The second portion may be configured to form a compartment that receives a disinfectant and/or antimicrobial solution that an operator may use to wet the hand or place other tools therein.
The present invention thus provides a storage device that can be cleaned, isolated and thus used for storage of each guide, and that can achieve a clean and orderly operating area. The receiving device can also avoid aseptic accidents related to the introducer and thus avoid an untimely replacement of the introducer. The accommodation of the introducer in its frame is easy to perform and is performed with one hand. Finally, the final packaging of the single-use introducer housed in the frame at the end of the operation enables a clean packaging for the disposal of the introducer thus housed in the frame.

Claims (13)

1. A housing arrangement for a guidewire (1), comprising a reservoir (20) and at least one removable frame (21) configured to be arranged in the reservoir (20), said reservoir (20) being provided to accommodate saline, said frame (21) comprising two opposite walls (210) and comprising an insertion hole (213) forming an inner housing space between the two walls, the insertion hole (213) being formed in said inner housing space and extending from a first end (210 a) of said wall (210) towards a second end (210 b) of said wall (210) being the opposite end of said first end (210 a), characterized in that said frame (21) comprises an opening (212) and a substantially annular groove (214) extending through the frame (21) from one wall (210) to the other, the groove being formed in the inner housing space and communicating with said insertion hole (213), said opening (212) being configured to be in a position in which the opening is spaced apart from the opening (21) and the opening is located in a position in which the opening (21) is defined, the opening is in the housing arrangement (20) and the rest of the housing arrangement is positioned in a position in which the opening is in the opening position in the opening (212), the open portion of the groove (214) is at least partially inside the reservoir (20) and the insertion hole (213) extends outside the reservoir (20), said reservoir (20) further comprising a stop means (203) configured to prevent translation of the frame (21) in the direction of insertion and removal of the guide wire into and from the frame (21) when said frame (21) is in the storage position.
2. The housing device according to claim 1, wherein the positioning means (204) are adapted to prevent a translation of the frame (21) in a lateral direction.
3. The storage device according to one of claims 1 or 2, wherein said wall (210) of the frame (21) rests on the positioning means (204) when the frame (21) is in the storage position.
4. The housing device according to one of claims 1 or 2, wherein the positioning means (204) comprise an assembly member configured to cooperate with the frame (21) in a complementarily shaped manner.
5. The storage apparatus according to one of claims 1 or 2, wherein the positioning device (204) is configured to fix the frame (21) when said frame (21) is in the storage position.
6. The housing device according to one of claims 1 or 2, wherein a gap separates the positioning means (204) from at least one wall (210) of the frame (21) when the frame (21) is in the stowed position, said gap being configured to bring said wall (210) against said positioning means (204) when the guide wire (1) is removed from and inserted into the frame (21).
7. The housing device according to one of claims 1 or 2, wherein the open portion of the ring groove comprises bridges (215) spaced along said open portion and extending from one side of said ring groove (214) to the other side.
8. The housing device according to one of claims 1 or 2, wherein the ring groove (214) comprises an upper portion (214 b) formed at an upper portion (21 b) of the frame (21) and a lower portion (214 a) formed at a lower portion (21 a) of the frame (21), said upper portion (214 b) and said lower portion (214 a) of the ring groove (214) being semi-annular, said ring groove (214) being closed at the upper portion (214 b) and communicating with the opening (212) at one or more portions of the lower portion (214 a), said insertion hole (213) extending in the upper portion (21 b) of the frame (21).
9. The housing device according to one of claims 1 or 2, wherein the opening (212) is substantially circular.
10. The housing device according to one of claims 1 or 2, wherein said wall (210) of the frame (21) is curved.
11. The housing device according to one of claims 1 or 2, wherein the housing device comprises an insert member (22) which communicates with the frame (21) through the insert hole (213).
12. The containing device according to claim 11, wherein the insert member (22) has a substantially frustoconical shape.
13. The housing apparatus according to claim 11, wherein the insertion member (22) comprises a frustoconical portion (22 a) and a beak-like insertion portion (22 b) extending the frustoconical portion (22 a) at the flared end.
CN202080038340.7A 2019-05-24 2020-05-22 Storage device for guide wires Active CN113874063B (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
FRFR1905538 2019-05-24
FR1905538A FR3096253B1 (en) 2019-05-24 2019-05-24 Guidewire storage device
PCT/FR2020/050856 WO2020240123A1 (en) 2019-05-24 2020-05-22 Storage device for a guide wire

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CN113874063A CN113874063A (en) 2021-12-31
CN113874063B true CN113874063B (en) 2023-09-26

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EP (1) EP3976157B1 (en)
CN (1) CN113874063B (en)
FR (1) FR3096253B1 (en)
WO (1) WO2020240123A1 (en)

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Publication number Publication date
EP3976157A1 (en) 2022-04-06
EP3976157C0 (en) 2023-06-07
WO2020240123A1 (en) 2020-12-03
EP3976157B1 (en) 2023-06-07
FR3096253B1 (en) 2021-06-11
CN113874063A (en) 2021-12-31
US20220080151A1 (en) 2022-03-17
FR3096253A1 (en) 2020-11-27

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